CAROLYN S. KATZEN M.D.
NPI 1255399044
Pathology - Anatomic Pathology & Clinical Pathology in Atlanta, GA


Quality Rating: 92.27 out of 100 score

NPI Status: Active since May 02, 2006

Contact Information

1364 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 686-1900

Get Directions Reviews

  • Individual
  • Female
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • PECOS Enrolled

About CAROLYN KATZEN

This page provides the complete NPI Profile along with additional information for Carolyn Katzen, a provider established in Atlanta, Georgia with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1255399044 assigned on May 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 052757 (GA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1255399044
Provider Name
CAROLYN S. KATZEN M.D.
Gender
Female
Entity Type
Individual
Location Address
1364 CLIFTON RD NE ATLANTA, GA 30322
Location Phone
(404) 686-1900
Mailing Address
1364 CLIFTON RD NE ATLANTA, GA 30322
Is Sole Proprietor?
No
Enumeration Date
05-02-2006
Last Update Date
07-08-2007
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
052757
License State
GA
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F10677MEDICARE UPIN (02)GA 

Medicare Participation & PECOS Enrollment Status

Carolyn Katzen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Immunologic analysis technique on body fluid, other fluids with concentration

Immunologic analysis is a diagnostic method that assesses your body fluids to detect health issues. It involves concentrating these fluids to enhance detection of specific proteins or cells. It helps identify immune system responses, aiding in accurate diagnosis and treatment.

This service was performed 185 times for 155 patients

Immunologic analysis technique on body fluid, other fluids with concentration

Immunologic analysis is a diagnostic method that assesses your body fluids to detect health issues. It involves concentrating these fluids to enhance detection of specific proteins or cells. It helps identify immune system responses, aiding in accurate diagnosis and treatment.

This service was performed 31 times for 30 patients

Immunologic analysis technique on serum (immunofixation)

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

This service was performed 920 times for 609 patients

Immunologic analysis technique on serum (immunofixation)

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

This service was performed 199 times for 187 patients

Protein measurement, body fluid

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

This service was performed 208 times for 173 patients

Protein measurement, body fluid

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

This service was performed 52 times for 50 patients

Protein measurement, serum

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

This service was performed 993 times for 669 patients

Protein measurement, serum

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

This service was performed 291 times for 277 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30322 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.64
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.27, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.27 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 76.1

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 94.21

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for CAROLYN S. KATZEN M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255399044
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105691808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 9 + 1 + 8 + 0 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1255399044 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669476248DR. MAUREEN E. HAAS PHARMD, BCPS
Individual
Pharmacist (Pharmacotherapy)1364 CLIFTON RD NE
ATLANTA, GA 30322
(404) 712-4019
1538167762MS. RENEE MICHELLE DEVINE PHARM D
Individual
Pharmacist (Pharmacotherapy)1364 CLIFTON RD NE DEPARTMENT OF PHARMACY EG22
ATLANTA, GA 30322
(404) 712-7505
1619963345 GLORIA J. IANNONE CRNA
Individual
Nurse Anesthetist, Certified Registered1364 CLIFTON RD NE STE B3
ATLANTA, GA 30322
(770) 645-9181
1902884810 ASHLEY LYN SLAPPY MD
Individual
Surgery1364 CLIFTON RD NE SUITE A3300
ATLANTA, GA 30322
(404) 778-3712
1194705061 DIAN DOWLING EVANS FNP
Individual
Nurse Practitioner (Family)1364 CLIFTON RD NE
ATLANTA, GA 30322
(404) 712-2908
1902864846 ALEXANDER DUNCAN MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1364 CLIFTON RD NE ROOM F145
ATLANTA, GA 30322
(404) 712-7294
1861450702 CYNTHIA COHEN M.D.
Individual
Pathology (Anatomic Pathology)1364 CLIFTON RD NE RM. G144
ATLANTA, GA 30322
(404) 712-7005
1205894052 TRISTRAM G. PARSLOW M.D., PH.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1364 CLIFTON RD NE ROOM H184
ATLANTA, GA 30322
(404) 727-8657
1295793909 SHIYONG LI M.D., PH.D.
Individual
Pathology (Hematology)1364 CLIFTON RD NE ROOM F143D
ATLANTA, GA 30322
(404) 712-5456
1508824988 CHRISTOPHER D. HILLYER M.D.
Individual
Pathology (Blood Banking & Transfusion Medicine)1364 CLIFTON RD NE EUH BLOOD BANK, ROOM D655
ATLANTA, GA 30322
(404) 712-5869
1588612675 ANTHONY ANDREW GAL M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1364 CLIFTON RD NE ROOM H171
ATLANTA, GA 30322
(404) 712-7320
1033167143 JEANNINE T. HOLDEN M.D.
Individual
Pathology (Hematology)1364 CLIFTON RD NE RM. F143B
ATLANTA, GA 30322
(404) 712-7344
1063460145 KAREN MANN M.D., PH.D.
Individual
Pathology (Hematology)1364 CLIFTON RD NE ROOM F143C
ATLANTA, GA 30322
(404) 712-1264
1457309544 CHARLES E. HILL M.D., PH.D
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1364 CLIFTON RD NE ROOM F147A
ATLANTA, GA 30322
(404) 712-4615
1437107109 MARK MULLINS MD
Individual
Radiology (Neuroradiology)1364 CLIFTON RD NE
ATLANTA, GA 30322
(404) 712-4583
1578512570 JACQUES E DION MD
Individual
Radiology (Nuclear Radiology)1364 CLIFTON RD NE ROOM A121 DEPT OF RADIOLOGY
ATLANTA, GA 30322
(404) 712-4991
1700836145 CHARLES WHITAKER SEWELL M.D.
Individual
Pathology (Cytopathology)1364 CLIFTON RD NE EMORY UNIVERSITY HOSPITAL, STE. H185C
ATLANTA, GA 30322
(404) 712-7003
1548210164 STEPHEN B. HUNTER M.D.
Individual
Pathology (Neuropathology)1364 CLIFTON RD NE EMORY UNIVERSITY HOSPITAL, ROOM H173
ATLANTA, GA 30322
(404) 712-4278
1912952664 LEE N. ECONOMY FNP
Individual
Nurse Practitioner (Family)1364 CLIFTON RD NE
ATLANTA, GA 30322
(404) 712-7100
1861439549 JENNIFER T GODFREY NP
Individual
Registered Nurse (Critical Care Medicine)1364 CLIFTON RD NE
ATLANTA, GA 30322
(404) 712-1854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255399044, enumerated in the NPI registry as an "individual" on May 02, 2006

The provider is located at 1364 Clifton Rd Ne Atlanta, Ga 30322 and the phone number is (404) 686-1900

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $130.64 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Immunologic analysis technique on body fluid, other fluids with concentration, Immunologic analysis technique on body fluid, other fluids with concentration, Immunologic analysis technique on serum (immunofixation), Immunologic analysis technique on serum (immunofixation), Protein measurement, body fluid, Protein measurement, body fluid, Protein measurement, serum and Protein measurement, serum.

This NPI record was last updated on May 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.